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  ACTA CHIRURGIAE PLASTICAE 41, 1, 1999, pp. 25 - 32
 
THERAPEUTICAL ASPECTS OF USING CITALOPRAM IN BURNS 
1 Bláha J., 2 Svobodová K., 1 Kapounková Z. 

Klinika popáleninové medicíny FNKV Praha, 2 Nemocnice Na Homolce Praha.
 


Summary:

       Conclusion of the ICU: Preliminary results from this stage of our study demonstrate a significant decrease of the duration of oedema, probably due to the effects of the inhibition of vascular hyperpermeability. This means that patients under Citalopram therapy can undergo surgical procedures such as necrectomies and autografts sooner because they are stabilized as early as the begining of their treatment. Particularly the patients with burned faces and deep dermal burns have a better prognoses in respect to cosmetics. Conclusion of the psychologist: From the beginning of the study to the present time, no patient experienced PTSD. The compared group of out-patients had been treated on average of 3 months when the first signs of a re- duction in the clinical symptoms of PTSD was registered. The clinical onset of the therapeutical effect - on average in the third week - is comparable with references from anxiety or inhibitory depression treatment by using Citalopram. We suggest, at present, that the above-mentioned, preliminary results of our study have shown that Citalopram treatment has a beneficial effect on emotional disturbances in severely burned patients. Conclusion of the scar specialist: Seropram is a very useful preparation in burn praxis. When we apply it as a bolus 40 mg i.v. immediatelly after admission to the ICU, the scaring process is very good and hypertrophic scars are not seen. When we apply Seropram in the form of a continual infusion, using the injectomat during a 24- hour period, scaring is better than in the control group, but hypertrophic scaring is not out of the question.

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